Magic Fire Circle: Advanced Hanging Out!
July 2-5, 2010
Be sure to read the registration information page before filling out this form. To register on-line, click here.
City_____________________________ State______________ Zip ______________
Phone: home__________________ work___________________________________
Email:___________________________________ Best time to reach you?__________
|Registration Fee - Adults sliding scale
$150 - $180
Please indicate price chosen.
|Adults 18 and up||$||x____(#adults)||=||$_________(a)|
|1st Child 14 and under||$ 50||x____(#child)||=||$_________(b)|
|Additional children under 14||$ 35||x____(#children)||=||$_________(c)|
|Teens 15 - 17||$90||x____(#teens)||=||$_________(d)|
|Optional Scholarship donation
(please help us make the event accessible to everyone!)
|Total Enclosed: (a thru e)||$_________|
Food preference: ____ dairy; ____ non-dairy (If you leave blank, we count you as dairy)
__ We'd like a cabin space.
Make checks payable to Earth Drum Council.
|Enclosed (check one):||___ Total due|
|___ Scholarship application attached|
Earth Drum Council reserves the right to ask any participant to leave the event without a refund if his/her behavior is disruptive to the event. I understand that neither Earth Drum Council nor The Abode of the Message and its management is responsible for personal injury or loss of property during this event.
(signed) ____________________________________ (date) _____________
No registrations will be accepted without signature. Each adult registering must sign.
To register, please print this form, complete it, and mail it along with your deposit to: EDC, PO Box 1284, Concord, MA 01742
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